Tracy Slotter D Entremont (NPI# 1023036704, PAC ID# 5991831554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1023036704 |
| PAC ID by PECOS | 5991831554 |
| Professional Enrollment ID | I20100407000556 |
| Full Name | Tracy Slotter D Entremont |
| Organization Legal Name | UNIVERSITY OF PENN MEDICAL GROUP |
| Address |
3400 Civic Ctr Blvd Philadelphia PA 19104-5127 |
| Phone Number | 2156155858 |
| Gender | F |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 6204730955 |
| Number of Group Practice Members | 2443 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390111 | HOSPITAL OF UNIV OF PENNSYLVANIA |
| 390179 | CHESTER COUNTY HOSPITAL |
| 390139 | BRYN MAWR HOSPITAL |
| 390153 | PAOLI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1001 Chesterbrook Blvd 2nd Fl W, Hemo Onc Valley Forge, Berwyn, PA 19312-3805 | 6105767500 | UNIVERSITY OF PENN MEDICAL GROUP |
| 3400 Civic Ctr Blvd, Philadelphia, PA 19104-5127 | 2156155858 | UNIVERSITY OF PENN MEDICAL GROUP |
| 3400 Civic Ctr Blvd, Fl 2, Philadelphia, PA 19104-5127 | 2156150063 | UNIVERSITY OF PENN MEDICAL GROUP |
| Organization Legal Name | UNIVERSITY OF PENN MEDICAL GROUP |
| Physicians | 2545 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Price | Physician Assistant | University of Penn Medical Group | 3400 Spruce Street 5 White Bldg, Oral and Maxillofacial Surgery Hup, Philadelphia, PA 19104-4206 |
| Zachary James Gaskill | Family Medicine | University of Penn Medical Group | 3620 Hamilton Walk Fl, 1 John Morgan Bldg Hyperbaric Medicine, Philadelphia, PA 19104-4800 |
| Jane Han | Physical Medicine and Rehabilitation | University of Penn Medical Group | 800 Spruce Street 10th Floor, Pah Inpatient Consult Services, Philadelphia, PA 19107-5701 |
| Meaghan Sarah Roche | Nephrology | University of Penn Medical Group | 51 N 39th Street 2 Mob, Uphs/presbyterian Division of Renal Electrolyte, Philadelphia, PA 19104-2640 |
| Janae Kathleen Heath | Pulmonary Disease | University of Penn Medical Group | 3400 Civic Ctr Blvd 1st, Harron Lung PCam, Philadelphia, PA 19104-4306 |
| Lauren Boccagno | Nurse Practitioner | University of Penn Medical Group | 3823 Market St, Philadelphia, PA 19104-3145 |
| Davoren Ann Chick | Hospitalist | University of Penn Medical Group | 51 N 39th Stret, Hospital Med Presby, Philadelphia, PA 19104-2640 |
| Michelle Liana Hershman | Diagnostic Radiology | University of Penn Medical Group | 1840 S St, Suite 3, Philadelphia, PA 19146-7422 |
| Marian Vanlandingham Moseley | Psychiatry | University of Penn Medical Group | 3535 Market St, 5th, Philadelphia, PA 19104-3309 |
| Robert E Burke | Internal Medicine | University of Penn Medical Group | 3615 Chestnut St, Philadelphia, PA 19104-2612 |
| Street Address |
3400 CIVIC CTR BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19104-5127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faith A Mutale | Nurse Practitioner | University of Penn Medical Group | 3400 Civic Ctr Blvd, Philadelphia, PA 19104-5127 |
| Anastassia Amaro | Endocrinology | University of Penn Medical Group | 3400 Civic Ctr Blvd, Fl 4, Philadelphia, PA 19104-5127 |
| Sirithepphavanh Oliver | Nurse Practitioner | University of Penn Medical Group | 3400 Civic Ctr Blvd, Fl 3, Philadelphia, PA 19104-5127 |
| Hamdee Yousef Attallah | Endocrinology | University of Penn Medical Group | 3400 Civic Ctr Blvd, Fl 4, Philadelphia, PA 19104-5127 |
| Nawar D Mahmood Abdul Latif | Obstetrics/gynecology | University of Penn Medical Group | 3400 Civic Ctr Blvd, Fl 3, Philadelphia, PA 19104-5127 |
| Alicia Rae Torpey | Nurse Practitioner | University of Penn Medical Group | 3400 Civic Ctr Blvd, Fl 2, Philadelphia, PA 19104-5127 |
| Stephen J Schuster | Hematology/oncology | University of Penn Medical Group | 3400 Civic Ctr Blvd, Philadelphia, PA 19104-5127 |
| Lawrence F Brass | Hematology/oncology | University of Penn Medical Group | 3400 Civic Ctr Blvd, Philadelphia, PA 19104-5127 |
| Ellen J Bernstein | Nurse Practitioner | University of Penn Medical Group | 3400 Civic Ctr Blvd, Fl 2, Philadelphia, PA 19104-5127 |
| Emily A Blumberg | Infectious Disease | University of Penn Medical Group | 3400 Civic Ctr Blvd, Fl 4, Philadelphia, PA 19104-5127 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark D Rizzi | Otolaryngology | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Gregory Edward Tasian | Urology | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Richard S Davidson | Orthopedic Surgery | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Lawrence M Levin | Maxillofacial Surgery | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| John Andrew Germiller | Otolaryngology | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Lawrence W Tom | Otolaryngology | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Steven E Sobol | Otolaryngology | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Monte Dean Mills | Ophthalmology | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Lawrence Wells | Orthopedic Surgery | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Shih-shan Lang Chen | Neurosurgery | Children's Surgical Associates Ltd | 34 Th and Civic Ctr Blvd, Philadelphia, PA 19104 |
| Find all physicians in zip 19104 | |||
| City | PHILADELPHIA |
| Zip Code | 19104 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | PHILADELPHIA + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Tracy Slotter D Entremont.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.